I seem to remember hearing or reading (I can't find the reference) that when Jessie Newman was recruited by UL he was promised knee braces.
Now I have no way of knowing if knee braces would have prevented or diminished his injury Saturday, why I don't even know the severity of his injury. It might just be a sprain, and I hope that is all it is.
However I found this study done in 1997-98 and it seems to show a huge prevention factor when wearing knee braces.reveals the economic impact of knee injury and subsequent care to offensive linemen. The actual costs of the 1997 season include two surgical reconstructions of anterior cruciate ligaments totaling $45,795. The cost of care for knee injuries in 1998 fell to $1,630, due primarily to the lack of surgical cases. The cost to provide custom fitted prophylactic knee braces to offensive linemen for this project totaled $16,200 (30 braces at $540 each). Though a significant expenditure (the prefabricated braces had cost $75 each), the staff felt the investment was very prudent-especially in terms of injury prevention, quality of life for student athletes, and further prevention of time lost from activity.
Conclusion
This review of the literature provides evidence of the protective aspects of prophylactic knee braces to capsular structures of the knee. Likewise, functional knee braces are found to effectively control forces of the tibia, which can produce stresses and possibly injure the capsular and/or anterior cruciate ligaments. Regarding the choice of braces, clinicians have felt that custom braces are associated with improved fit and result in less brace migration. Regardless, the chosen brace should be one that can withstand the forces of the activity, especially those selected for contact activity. At this time, I feel it is prudent to recommend bracing for prophylaxis, and this is being done at many institutions with growing popularity.
A comprehensive study of all divisions of football regarding the prophylactic nature of knee bracing needs to be undertaken. The study should track injuries relative to all brace types for prophylaxis-including the lateral protective knee guards and functional knee braces. Many institutions embrace prophylactic concepts, and further information is needed to determine the cost-to-benefit ratio for brace use. If protective knee braces are selected, the different benefits afforded by custom-fitted versus the "off-the-shelf" brace styles need to be assessed.
D. Rod Walters, DA, ATC, is assistant athletic director for sports medicine at the University of South Carolina in Columbia.
Published in Biomechanics
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